Converting habits of antibiotic prescribing for respiratory tract infections in German primary care - The cluster-randomized controlled CHANGE-2 trial

BMC Family Practice

Volumn 13, Issue , 2012, Pages

  Altiner, Attila ^a   Berner, Reinhard ^b   Diener, Annette ^a   Feldmeier, Gregor ^a   Köchling, Anna ^a   Löffler, Christin ^a   Schröder, Helmut ^c   Siegel, Achim ^d   Wollny, Anja ^a   Kern, Winfried V ^d  

^a ROSTOCK UNIVERSITY MEDICAL CENTER   (Germany)

^b UNIVERSITY HOSPITAL CARL GUSTAV CARUS   (Germany)

^c Wissenschaftliches Institut der AOK WIdO   (Germany)

^d UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Antibiotic prescribing; Primary care; Randomized controlled trial; Respiratory tract infections

Indexed keywords

ANTIINFECTIVE AGENT;

ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; CLINICAL PRACTICE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOCTOR PATIENT RELATION; EDUCATION; FEMALE; GENERAL PRACTITIONER; GERMANY; HABIT; HOSPITAL INFORMATION SYSTEM; HUMAN; INAPPROPRIATE PRESCRIBING; INFANT; INTERPERSONAL COMMUNICATION; MALE; MIDDLE AGED; PATIENT SATISFACTION; PRACTICE GUIDELINE; PRESCHOOL CHILD; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY TRACT INFECTION; VERY ELDERLY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; CHILD; CHILD, PRESCHOOL; COMMUNICATION; FEMALE; GERMANY; GUIDELINE ADHERENCE; HABITS; HUMANS; INAPPROPRIATE PRESCRIBING; INFANT; MALE; MIDDLE AGED; PATIENT SATISFACTION; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS, PRIMARY CARE; POINT-OF-CARE SYSTEMS; PRACTICE GUIDELINES AS TOPIC; RESPIRATORY TRACT INFECTIONS; YOUNG ADULT;

MLCS; MLOWN;

EID: 84872556751     PISSN: None     EISSN: 14712296     Source Type: Journal    
DOI: 10.1186/1471-2296-13-124     Document Type: Article

References (41)

1. Reducing antibiotic prescriptions for acute cough by motivating GPs to change their attitudes of communication and empowering patients: a cluster randomized intervention study. Altiner A, Sielk M, Brockmann S, Wilm S, Wegscheider K, Abholz HH, J Antimicrob Chemother 2007 60 638 644 10.1093/jac/dkm254 17626023 (Pubitemid 47299881)
2. Family practitioners' diagnostic decision-making processes regarding patients with respiratory tract infections: an observational study. Fischer T, Fischer S, Himmel W, Kochen MM, Hummers-Pradier E, Med Decis Making 2008 28 810 818 10.1177/0272989X08315254 18448702
3. Antibiotikatherapie bei Kindern und Jugendlichen. Glaeske G, Janhsen K, GEK Arzneimittel-Report 2008 St. Augustin: Asgard, Glaeske G, Schicktanz C, Janhsen K, 2008 138 146
4. Reducing antibiotics for respiratory tract symptoms in primary care: consolidating "why" and considering "how" Butler CC, Rollnick S, Kinnersley P, Jones A, Stott N, BJ Gen Pract 1998 48 1865 1870 (Pubitemid 28552148)
5. Antibiotics for acute bronchitis. Fahey T, Smucny J, Becker L, Glazier R, Cochrane Database Syst Rev 2004 4 D000245 15494994
6. Epidemiology, diagnosis, antimicrobial therapy and management of community-acquired pneumonia and lower respiratory tract infections in adults. Guidelines of the Paul-Ehrlich-Society for Chemotherapy, the German Respiratory Society, the German Society for Infectiology and the Competence Network CAPNETZ Germany. Höffken G, Lorenz J, Kern W, Welte T, Bauer T, Dalhoff K, Dietrich E, Ewig S, Gastmeier P, Grabein B, Halle E, Kolditz M, Marre R, Sitter H, Pneumologie 2009 63 1 e68 10.1055/s-0029-1215037 19821215
7. National Institute for Health and Clinical Excellence, Respiratory tract infections-antibiotic prescribing. NICE clinical guideline 69 http://www.nice.org.uk/nicemedia/pdf/CG69FullGuideline.pdf (December 12, 2012, date last accessed)
8. Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin e. V. (DEGAM), Leitlinie Halsschmerzen Düsseldorf: DEGAM / omikron publishing 2009 http://www.awmf.org/leitlinien/detail/ll/053-010.html (December 12, 2012, date last accessed)
9. Hände weg von der eisernen Reserve. Schröder H, Gesundheit und Gesellschaft 2011 7-8/2011 21 26
10. Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study. Little P, Dorward M, Warner G, Stephens K, Senior J, Moore M, BMJ 2004 328 444 447 10.1136/bmj.38013.644086.7C 14966079
11. Antibiotics and upper respiratory infections: do some folks think there is a cure for common cold? Mainous AG, Huesten WJ, Clark JR, J Fam Pract 1996 42 357 361 8627203 (Pubitemid 26121777)
12. Antibiotic prescribing for adults with colds, upper respiratory tract infections, and bronchitis by ambulatory care physicians. Gonzales R, Steiner JF, Sande MA, JAMA 1997 278 901 904 10.1001/jama.1997.03550110039033 9302241 (Pubitemid 27492241)
13. Are patients more satisfied when they receive a prescription? The effect of patient expectations in general practice. Himmel W, Lippert-Urbanke E, Kochen MM, Scand J Prim Health Care 1997 15 118 122 10.3109/02813439709018500 9323777 (Pubitemid 27397841)
14. Understanding the culture of prescribing: qualitative study of general practitioners' and patients' perceptions of antibiotics for sore throats. Butler CC, Rollnick S, Pill R, Maggs-Rapport F, Scott N, BMJ 1998 317 637 642 10.1136/bmj.317.7159.637 9727992 (Pubitemid 28403490)
15. Akuter Husten: Was erwarten die Patienten? [Acute cough: What do patients expect?]. Altiner A, Haag H, Schraven C, Sensen A, Wilm S, Sandquist S, Esser A, Schlipper A, Abholz HH, Z Allg Med 2002 78 19 22
16. Are sore throat patients who hope for antibiotics actually asking for pain relief? van Driel ML, De Sutter A, Deveugele M, Peersman W, Butler CC, De Meyere M, De Maeseneer J, Christiaens T, Ann Fam Med 2006 4 494 499 10.1370/afm.609 17148626 (Pubitemid 44916073)
17. Optimizing antibiotic prescribing for acute cough in general practice: a cluster-randomized controlled trial. Coenen S, Van Royen P, Michiels B, Denekens J, J Antimicrob Chemother 2004 54 661 672 10.1093/jac/dkh374 15282232 (Pubitemid 39263909)
18. Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial. Little P, Rumsby K, Kelly J, Watson L, Moore M, Warner G, Fahey T, Williamson I, JAMA 2005 293 3029 3035 10.1001/jama.293.24.3029 15972565 (Pubitemid 40965073)
19. A study of the relationship between patients' attitudes and doctors' prescribing. Virji A, Britten N, Fam Pract 1991 8 314 319 10.1093/fampra/8.4.314 1800193
20. What worries parents when their preschool children are acutely ill, and why: a qualitative study. Kai J, BMJ 1996 313 983 986 10.1136/bmj.313.7063.983 8892420 (Pubitemid 26385527)
21. Parents' difficulties and information needs in coping with acute illness in preschool children: a qualitative study. Kai J, BMJ 1996 313 987 990 10.1136/bmj.313.7063.987 8892421 (Pubitemid 26385528)
22. Audit commission, A prescription for improvement. Towards more rational prescribing in general practice London: HMSO 1994
23. Does clinical error contribute to unnecessary antibiotic use? McIsaac WJ, Butler CC, Med Dec Making 2000 20 33 38 10.1177/0272989X0002000104 (Pubitemid 30036260)
24. Antimicrobial prescribing for acute purulent rhinitis in children: a survey of pediatricians and family practitioners. Schwartz RH, Freij B, Ziai M, Sheridan MJ, Pediatr Infect Dis J 1997 16 185 190 10.1097/00006454-199702000- 00004 9041598 (Pubitemid 27078787)
25. Sputum color for diagnosis of a bacterial infection in patients with acute cough. Altiner A, Wilm S, Däubener W, Bormann C, Pentzek M, Abholz HH, Scherer M, Scan J Prim Health Care 2009 27 70 73 10.1080/02813430902759663
26. An Assessment of the Shared-Decision Model in Parents of Children With Acute Otitis Media. Merenstein D, Diener-West M, Krist A, Pinneger M, Cooper LA, Pediatrics 2005 116 1267 1275 10.1542/peds.2005-0486 16322146 (Pubitemid 46056471)
27. Interventions to improve antibiotic prescribing practices in ambulatory care. Arnold SR, Straus SE, Cochrane Database Syst Rev 2005 4 D003539 16235325
28. C-reactive protein-measurement in general practice may lead to lower antibiotic prescribing for sinusitis. Bjerrum L, Gahrn-Hansen B, Munck AP, Br J Gen Pract 2004 54 659 662 15353050 (Pubitemid 39232520)
29. Point-of-care C-reactive protein testing and antibiotic prescribing for respiratory tract infections: a randomized controlled trial. Cals JW, Schot MJ, de Jong SA, Dinant GJ, Hopstaken RM, Ann Fam Med 2010 8 124 133 10.1370/afm.1090 20212299
30. Performance of a rapid antigen-detection test and throat culture in community pediatric offices: implications for management of pharyngitis. Tanz RR, Gerber MA, Kabat W, Rippe J, Seshadri R, Shulman ST, Pediatrics 2009 123 437 444 10.1542/peds.2008-0488 19171607
31. Effect of point of care testing for C reactive protein and training in communication skills on antibiotic use in lower respiratory tract infections: cluster randomised trial. Cals JW, Butler CC, Hopstaken RM, Hood K, Dinant GJ, BMJ 2009 338 1374 10.1136/bmj.b1374 19416992
32. Effectiveness of a multiple intervention to reduce antibiotic prescribing for respiratory tract symptoms in primary care: randomised controlled trial. Welschen I, Kuyvenhoven MM, Hoes AW, Verheij TJ, BMJ 2004 329 431 434 10.1136/bmj.38182.591238.EB 15297305
33. 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice. Cals JW, Butler CC, Dinant GJ, Implement Sci 2009 4 57 10.1186/1748-5908-4-57 19737382
34. Illness behaviour and antibiotic prescription in patients with respiratory tract symptoms. van Duijn HJ, Kuyvenhoven MM, Schellevis FG, Verheij TJ, Br J Gen Pract 2007 57 561 568 17727749 (Pubitemid 47039503)
35. Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. Cals JW, Boumans D, Lardinois RJ, Gonzales R, Hopstaken RM, Butler CC, Dinant GJ, Br J Gen Pract 2007 57 942 947 10.3399/096016407782605027 18252068
36. Shared decision-making in the medical encounter: what does it mean? (Or it takes at least two to tango). Charles C, Gafni A, Whelan T, Soc Sci Med 1997 44 681 692 10.1016/S0277-9536(96)00221-3 9032835 (Pubitemid 27067502)
37. Fluoroquinolones to treat uncomplicated acute cough in primary care: predictors for unjustified prescribing of antibiotics. Altiner A, Wilm S, Wegscheider K, Sielk M, Brockmann S, Fuchs A, Abholz HH, in der Schmitten J, J Antimicrob Chemother 2010 65 1521 1525 10.1093/jac/dkq151 20494927
38. Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. Goossens H, Ferech M, Van der Stichele R, Elseviers M, for the ESAC-Project Group, Lancet 2005 365 579 587 15708101 (Pubitemid 40247914)
39. Health Alliance for prudent antibiotic prescribing in patients with respiratory tract infections (HAPPY AUDIT)-impact of a non-randomised multifaceted intervention programme. Bjerrum L, Munck A, Gahrn-Hansen B, Hansen MP, Jarbol DE, Cordoba G, Llor C, Cots JM, Hernández S, López-Valcárcel BG, Pérez A, Caballero L, von der Heyde W, Radzeviciene R, Jurgutis A, Reutskiy A, Egorova E, Strandberg EL, Ovhed I, Mölstad S, Stichele RV, Benko R, Vlahovic-Palcevski V, Lionis C, Rønning M, BMC Fam Pract 2011 12 52 59 10.1186/1471-2296-12-52 21689406
40. Antibiotic use in Germany and European comparison. de With K, Schröder H, Meyer E, Nink K, Hoffmann S, Steib-Bauert MM, Kämmerer R, Ruess S, Daschner FD, Kern WV, Dtsch Med Wochenschr 2004 129 1987 1992 10.1055/s-2004-831838 15375742 (Pubitemid 39303397)
41. Wie häufig werden bei akutem Husten Reserveantibiotika verordnet? Fiegen HJ, Sielk M, Brockmann S, Altiner A, Z Allg Med 2002 81 372 376 (Pubitemid 41336811)